INDEPENDENCE HEALTH AND REHABILITATION CENTER
NPI 1497703201
Skilled Nursing Facility in Independence, OR

Active since May 04, 2006CLIA 38D0626140 · Waiver
1525 MONMOUTH ST, INDEPENDENCE, OR 97351(503) 838-0001(503) 838-7826 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Independence Health And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE HEALTH AND REHABILITATION CENTER (NPI 1497703201) is a healthcare organization registered as a skilled nursing facility in Independence, Oregon and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Brent Weil, Ceo And Manager, as its authorized official.

NPPES Registry Identity

NPI1497703201
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN OREGON HEALTHCARE INDEPENDENCE, L.L.C.
Location Address1525 MONMOUTH STIndependence, OR 97351-1007
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6736 · (360) 892-6628 · Fax (360) 882-5793
Fax(503) 838-7826
Organization SubpartYesParent: Empres Oregon Healthcare, Llc
Authorized OfficialBrent WeilCeo And Manager · (360) 892-6628
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 30, 2017
NPI 1497703201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OR · 1663
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1525 MONMOUTH ST, Independence, OR 97351

Other Names 1

Doing Business AsIndependence Health And Rehabilitation Center

Other Identifiers 2

Medicaid801030OR
Medicare OSCAR/certification355188OR

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0626140

Independence Health & Rehabilitation Center · Independence, OR
Active · expires Dec 31, 2027
CLIA Number38D0626140
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorChristopher Morris
Laboratory Phone(503) 838-0001
Laboratory LocationIndependence Health & Rehabilitation Center1525 Monmouth Avenue, Independence, OR 97351
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1525 MONMOUTH ST
INDEPENDENCE, OR 97351
Physical Therapy Assistant
1525 MONMOUTH ST
INDEPENDENCE, OR 97351
Skilled Nursing Facility
1525 MONMOUTH ST
INDEPENDENCE, OR 97351
Speech-Language Pathologist
1525 MONMOUTH ST
INDEPENDENCE, OR 97351
Physical Therapy Assistant
1525 MONMOUTH ST
INDEPENDENCE, OR 97351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Oregon Healthcare Independence, L.L.C.'s NPI number?

The NPI number for Evergreen Oregon Healthcare Independence, L.L.C. is 1497703201. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Independence Health And Rehabilitation Center.

Where is Evergreen Oregon Healthcare Independence, L.L.C. located?

Evergreen Oregon Healthcare Independence, L.L.C. is located at 1525 Monmouth St, Independence, OR 97351. The listed phone number is (503) 838-0001.

What is Evergreen Oregon Healthcare Independence, L.L.C.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Evergreen Oregon Healthcare Independence, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0626140) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evergreen Oregon Healthcare Independence, L.L.C. accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Evergreen Oregon Healthcare Independence, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Oregon Healthcare Independence, L.L.C. was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.